ACL Reconstruction: Hamstring

ACL Reconstruction - Hamstring
ACL reconstruction surgery uses a graft to replace the damaged ligament and is usually successful at stabilizing the knee. ACL reconstruction is usually undertaken in young, active patients because the ACL will not heal unless surgically restored. In this case, the surgeon will use part of your hamstring tendon to create a graft.
ACL Graft
Torn ACL (scope)

Surgical Treatment

 

Surgery should be performed once full range of motion is obtained; Arthroscopic ACL reconstruction is usually undertaken in young, active patients because the ACL will not heal unless surgically restored.  With each episode of instability, more cartilage damage may occur; ligaments can be repaired quite well, but native cartilage cannot be replaced.  A brace will also not guarantee prevention of further knee "pivot" injuries. The ACL must be reconstructed with a biological graft that can heal fully by regaining full blood supply.  Graft options include: A) Autograft tissue from a patellar tendon graft or a hamstring graft; B) Allograft tissue from the patellar tendon, hamstring, or achilles tendon.

Surgery may not be recommended for older, less active patients who do not participate in cutting and twisting sports. An ACL is typically not needed for easy hiking, walking, swimming, or cycling. In this case, bracing of the knee may be selected as optimal treatment, as long as instability is not present. This patient group should also avoid aggressive sports in the future.

Recovery from Surgery

Once surgery is performed, your surgeon may have you non-weightbearing for a time and in a brace. CPM’s or continuous passive motion devices may sometimes be used. The first week after surgery typically involves ice and elevation. Try to limit how much time you get up when possible.

Physical therapy is generally started about a week after surgery and initially focuses on range of motion. Later phases concentrate on strength and proprioception.  Agility drills may be used in preparation for return to sport. This may take from four to six months depending on your doctors protocol. Your doctor may suggest the use of a sports brace for a period of time as you transition to full activity.

Outcomes of Surgery

ACL surgery is very successful at stabilizing the knee. Meniscal damage or chondral injuries (injury to the surface cartilage that lines the bones), may have some long term consequences on what activity you should or shouldn’t pursue. You and your doctor can make that decision together.

 

 

Other treatments:

Umbilical Cord Stem Cell Injection

Regenerative Injection

Bone Marrow Stem Cell Injection

Regenerative Medicine Treatment Options (Coastal Orthopedics)

Bone Marrow Stem Cell Injection

Adipose Tissue Stem Cell Injection

Platelet Rich Plasma Injection (PRP)

Platelet Rich Plasma Injection (PRP)

Amniotic Fluid Injection

Amniotic Fluid Injection

ACL Reconstruction: Allograft

Immobilization with Brace

ACL Repair

ACL Reconstruction: Patella

Physical Therapy

Medications